分级诊疗
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1元即可就近复诊开药
Xin Lang Cai Jing· 2026-02-23 16:32
□记者 钟起的 本报讯 记者昨日从省卫健委获悉,为进一步优化全省医疗资源配置,方便群众就近便捷就医,有效分 流大医院门诊拥堵压力,构建"基层首诊、分级诊疗"的有序就医格局,目前全省所有乡镇卫生院、社区 卫生服务中心(站)、村卫生室等基层医疗卫生机构均已规范开设便民门诊,统一执行1元便民门诊费 惠民收费标准,为广大群众提供高效、低价、就近的处方接续与开药服务,真正实现"小病不出村、常 见病不出乡、买药少跑腿、就医更省心"。 基层便民门诊是海南聚焦群众就医"急难愁盼"推出的务实举措,核心服务对象为病情稳定的复诊患者或 仅开药患者。凡是仅以开具常用药品为目的的群众,均适合前往基层便民门诊就诊。该服务精准匹配高 血压、糖尿病、心脑血管疾病等慢性病患者长期用药需求,以及术后病情稳定、需定期续药的患者复诊 需求,服务流程简洁高效,无需复杂检查,无需长时间等候,群众可快速完成就诊、缴费、取药全流 程。 按照全省统一规范,便民门诊仅收取1元/次的便民门诊费,无其他额外诊查费用,收费标准公开透明、 严格执行医保部门政策规定,切实减轻群众就医经济负担。目前,全省基层医疗卫生机构已基本配齐慢 性病常用药、基础用药、常规医用耗材,依 ...
【新闻随笔】试点线上首诊具有风向标意义
Xin Lang Cai Jing· 2026-02-12 20:34
Core Viewpoint - The launch of online first consultation services by Beijing Children's Hospital and Capital Institute of Pediatrics marks a significant step in enhancing healthcare accessibility and efficiency, particularly in pediatric care [1][2]. Group 1: Online First Consultation Services - Starting January 2026, Beijing will initiate a one-year pilot program for online first consultations in pediatric growth, nutrition, and skin disease specialties [1]. - The transition from online follow-up to first consultation is seen as a crucial advancement in providing quality medical services [1]. Group 2: Demand and Limitations - The previous restriction on online first consultations was primarily for safety reasons, as comprehensive examinations are challenging in a virtual setting, leading to potential misdiagnosis in complex cases [1][2]. - The demand for online first consultations is increasing, especially among patients in remote areas or those with mobility issues, highlighting the need for a more comprehensive service model [2]. Group 3: Management and Implementation - Breaking the first consultation limitation will require stronger management and clear guidelines on which diseases are suitable for online consultations [3]. - The pilot program will set high standards for the qualifications and clinical experience of physicians involved in online first consultations [3]. Group 4: Future Prospects - The pilot program is expected to inject new momentum into internet-based healthcare, potentially leading to innovations in service delivery as key elements like prescription rights and insurance payments are streamlined [4]. - The integration of technologies such as electronic medical records and AI-assisted diagnosis will expand the scope of internet-based medical services, enhancing both quality and convenience [4].
基药目录管理办法时隔11年首次修订
第一财经· 2026-02-12 03:21
2026.02. 12 本文字数:26863,阅读时长大约5分钟 作者 | 第一 财经 吴斯旻 2月11日,国家卫生健康委等11部门联合印发新版《国家基本药物目录管理办法》(下称"管理办 法"),并于发布之日起施行。原国家卫计委2015年2月13日发布的旧版基药目录管理办法同时废 除。 国家基本药物制度是国家药品供应保障体系的基础,各级医疗卫生机构需形成以基本药物为主导 的"1+X"用药模式。自2009年新一轮医改启动中国基本药物制度建设以来,基药目录清单经历了 2012年、2018年两次更新调整。 近年来,国内外创新机制治疗药品快速进入临床使用,临床用药结构发生了显著变化。与此同时,由 于基本药物制度并无筹资体系和支付机制,临床使用时还是需要靠品种纳入医保目录后用医保基金支 付。所以基药目录的更新频次、结构优化方向备受关注。 作为基药制度的重要配套文件,新修订版管理办法提出基药目录遴选应"突出药品临床价值",强 调"调整周期原则上不超过3年"的制度刚性,同时明确基药目录与医保目录,以及与集采、分级诊疗 等政策的衔接和协同。 突出药品临床价值 基本药物是指满足疾病防治基本用药需求,适应现阶段基本国情和保障能力 ...
北京大学全球健康发展研究院院长刘国恩荣膺“2025年度十大影响力经济学家”
Xin Lang Cai Jing· 2026-02-11 07:00
"2025年度十大影响力经济学家"名单揭晓 2025年,中国经济在内外多重挑战下稳步回升、提质向好,宏观政策精准协同、提质增效,在稳增长、 调结构、防风险中稳步前行。伴随中国经济高质量发展深入推进,影响力经济学家凭借深厚的学术底蕴 与多年深耕市场的实战经验,洞悉发展大势,锚定时代方向。 新浪财经携手首席经济学家论坛、新经济学家智库,联合微博财经,共同评选出 "2025年度十大影响力 经济学家"。 本次评选由评委会综合"专业性、影响力、创新性、前瞻性、活跃度"五大维度,经评审团投票,并参考 作品出产率、影响力等数据,综合评选出最终获奖结果。 北京大学全球健康发展研究院院长、北京大学国家发展研究院经济学长江学者特聘教授刘国恩荣 膺"2025年度十大影响力经济学家"! 刘国恩:为什么分级诊疗任重道远 责任编辑:张文 "2025年度十大影响力经济学家"名单揭晓 2025年,中国经济在内外多重挑战下稳步回升、提质向好,宏观政策精准协同、提质增效,在稳增长、 调结构、防风险中稳步前行。伴随中国经济高质量发展深入推进,影响力经济学家凭借深厚的学术底蕴 与多年深耕市场的实战经验,洞悉发展大势,锚定时代方向。 新浪财经携手首席 ...
全国人大代表徐晓婵: 推动分级诊疗真正落地见效
Xin Lang Cai Jing· 2026-02-08 19:33
转自:内蒙古日报 □新华社记者 刘美子 "和民,伤口恢复得咋样?"结束急诊查房,全国人大代表、安徽中医药大学第二附属医院急诊科副主任 徐晓婵回到办公室,拨通了黄山市休宁县璜尖乡清溪村村民汪和民的回访电话。 "徐医生,托你的福,伤口恢复得很好,村医定期来帮我换药,你放心吧!"几个月前,汪和民因截瘫手 术后长期卧床护理不当,引发坏死性筋膜炎,生命垂危。家人因转诊不畅无奈找到曾经的驻村医生徐晓 婵,经她多方协调,患者才得以转危为安。 "分级诊疗不是纸上的制度,而是要让老百姓在家门口就能看上病,转院不折腾。"徐晓婵打开电脑,数 万字的工作笔记,记录着大量就诊案例和履职思考。 为进一步深化医药卫生体制改革,巩固基层首诊、双向转诊、急慢分治、上下联动的分级诊疗格局, 2024年下半年,国家卫生健康委等三部门印发《关于加强首诊和转诊服务 提升医疗服务连续性的通 知》,明确分级诊疗"三步走"推进路径。聚焦这一改革重点,徐晓婵在2025年全国两会上提交《关于加 强首诊和转诊服务提高医疗服务连续性的建议》,并被列为全国人大重点督办建议。 "长期以来,基层医疗服务能力不均,各级医疗机构间信息不通、存在大量转诊需求却没有顺畅通道, ...
全国人大代表徐晓婵:推动分级诊疗真正落地见效
Xin Lang Cai Jing· 2026-02-08 14:23
Core Viewpoint - The article highlights the efforts of Xu Xiaochan, a representative of the National People's Congress and deputy director of the emergency department at Anhui University of Traditional Chinese Medicine, in promoting the implementation of a tiered medical service system in China, emphasizing the need for improved patient referral processes and better coordination among healthcare institutions [3][4]. Group 1: Background and Current Situation - The Chinese healthcare system has long faced challenges such as uneven capabilities among grassroots medical services and a lack of smooth referral channels, leading to patients experiencing difficulties in accessing timely care [3][4]. - Xu Xiaochan's experiences in rural health poverty alleviation have underscored the importance of addressing the "last mile" of tiered medical services, where patients often struggle with minor ailments and seek inappropriate care for serious conditions [3][4]. Group 2: Proposed Solutions - Xu has proposed the establishment of a unified information-sharing platform across provinces to facilitate patient choice and improve referral processes, as well as the involvement of general practitioners in consultation and referral work [3][4]. - A focus on creating a referral collaboration network centered around tertiary hospitals is emphasized, aiming to standardize referral processes and ensure patients receive timely and quality medical resources [5]. Group 3: Future Directions - The article outlines Xu's commitment to further optimizing the tiered medical service mechanism, establishing a referral collaboration network among medical institutions, and promoting the implementation of special positions for general practitioners in the upcoming year [5][6]. - The 20th Central Committee of the Communist Party of China has called for the improvement of the collaborative development and governance mechanisms of medical care, medical insurance, and pharmaceuticals, which aligns with Xu's advocacy for tiered medical services [5].
代表委员履职故事丨全国人大代表徐晓婵:推动分级诊疗真正落地见效
Xin Hua She· 2026-02-08 07:10
全国人大代表徐晓婵:推动分级诊疗真正落地见效 一次次的深入走访让徐晓婵清晰看到全国分级诊疗发展不均衡、资源配置差异大、多数省份转诊流程未 完全打通的现实,更坚定了她持续推动政策落地的决心。"只有实现信息多跑路、医生多联动、患者少 跑腿,分级诊疗才能真正落地见效。"她说。 随着分级诊疗纵深推进,徐晓婵发现同级医疗机构间同样缺乏有效转诊机制。"此前一名淮北市的患者 突发急症紧急到合肥就诊,因为原发病灶不明,又转诊不畅,病人一边承受持续尿血,一边在多家医院 间反复奔波。"徐晓婵说,这样的病例并不鲜见。 针对这种"纵向有框架、横向无联动"的转诊困境,2025年起,徐晓婵牵头在所在医院设立会诊转诊中 心,积极与省内三甲医院对接沟通,梳理各个医院专科优势,探索搭建转诊协作网。 新华社记者刘美子 "和民,伤口恢复得咋样?"结束急诊查房,全国人大代表、安徽中医药大学第二附属医院急诊科副主任 徐晓婵回到办公室,拨通了黄山市休宁县璜尖乡清溪村村民汪和民的回访电话。 "徐医生,托你的福,伤口恢复得很好,村医定期来帮我换药,你放心吧!"几个月前,汪和民因截瘫手 术后长期卧床护理不当,引发坏死性筋膜炎,生命垂危。家人因转诊不畅无奈找到 ...
“心电一张网”:让三甲诊疗瞬达家门口
Xin Lang Cai Jing· 2026-02-01 23:26
Core Insights - The article highlights the innovative "Heart ECG Network" in Fujian Province, which enables rapid and efficient heart disease diagnosis at the community level through digital health solutions [1][3][7] Group 1: Digital Health Transformation - The "Heart ECG Network" allows community residents to receive professional heart ECG diagnostic services locally, significantly reducing the need to travel to large hospitals [1][7] - The initiative is part of a broader digital health strategy in Fujian, which includes the "Minzhen Tong" platform that integrates service and monitoring for clinics [3][4] Group 2: Challenges in Traditional Healthcare - Traditional healthcare faces challenges such as diagnostic difficulties, patient access issues, and the risk of missing early symptoms of heart diseases [2][5] - The lack of ECG diagnostic capabilities in most grassroots clinics has been a significant barrier to timely heart disease detection [2] Group 3: Implementation and Technology - The "Heart ECG Network" utilizes AI for initial screening and expert review, enhancing diagnostic efficiency and accuracy [6][7] - A portable 12-lead ECG device has been developed, allowing for quick data collection and seamless integration with cloud services for real-time analysis [6][7] Group 4: Impact and Future Plans - Since its launch, nearly 100 clinics have joined the "Heart ECG Network," completing over 1,300 remote diagnoses and successfully identifying critical conditions [8] - Future plans include expanding the network's coverage and integrating AI for broader applications in chronic disease management [9]
如何理解实施医疗卫生强基工程
Xin Hua She· 2026-01-26 05:09
Core Viewpoint - The article emphasizes the importance of strengthening the grassroots healthcare system in China to address the current shortcomings in the medical and health service system, which leads to an imbalance in medical resource supply and demand [1] Group 1: Current Challenges - The primary shortcoming of China's healthcare system lies in the grassroots level, characterized by a weak talent pool, insufficient equipment and support, inadequate functional positioning, and uneven development [1] - These challenges result in a significant number of patients flocking to tertiary hospitals, exacerbating the imbalance in medical resource supply and demand [1] Group 2: Policy Recommendations - The "Suggestions for Formulating the 15th Five-Year Plan for National Economic and Social Development" proposes the implementation of a healthcare strengthening project as a crucial measure to promote hierarchical diagnosis and treatment [1] - This initiative aligns with the important directives of General Secretary Xi Jinping and reflects the Party's commitment to a people-centered development approach and the pursuit of common prosperity [1]
优质医疗服务一键直达,济宁市第一人民医院号源下沉正式启动
Qi Lu Wan Bao· 2026-01-26 04:27
Group 1 - The core idea of the news is the implementation of a dual strategy of "equipment + appointment" to enhance the accessibility of medical resources in Jining City, promoting a tiered medical service system [3][5] - Jining First People's Hospital has initiated a program to allocate at least 10% of expert appointments to grassroots medical institutions, encouraging patients to seek initial diagnosis at these facilities [3] - The initiative aims to create a seamless healthcare management system that connects grassroots first diagnosis, appointment referrals, and treatment at higher-level hospitals, thereby improving patient satisfaction and access to healthcare services [5] Group 2 - The "appointment sinking" strategy is described as a "people's project" aimed at optimizing the tiered medical service order and enhancing the accessibility of medical resources [5] - The next steps involve deepening the appointment sinking work, gradually expanding the coverage and proportion of expert appointments at grassroots levels, and solidifying the foundation of the tiered medical service system [5] - The goal is to establish a more efficient and collaborative regional healthcare service system, ensuring that quality medical resources are effectively utilized at the grassroots level [5]